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DocuSign Envelope ID:A65EF081-BF54-47AC-9969-94226D3FBC7E t A - continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> education if they complete 30 hours of service with Habitat, primarily on ABWK projects. The <br /> funding for the scholarship program is provided by an anonymous donor. <br /> • Habitat is a member of the Orange County Affordable Housing Coalition, a group of housing <br /> providers and advocates who are working together to increase resources for the full range of <br /> housing needs in Orange County, including home repair. Habitat's Executive Director currently <br /> chairs the Coalition. <br /> h) Describe what would happen if requested funding is not awarded at all or if a <br /> reduced allocation is recommended. <br /> We arrived at this project design through a comprehensive strategic planning process and by <br /> identifying the critical actions necessary to achieve our mission and vision. The activities <br /> described in this project are inherently sustainable because they are aligned with our core <br /> values and are central to what we do. Funding for this project will enhance the quality and <br /> quantity of the services we provide. Our commitment to communities has been that we will <br /> partner with individuals, associations, government, and funders to carry out our mission to the <br /> best of our ability and provide safe, decent, affordable housing in Orange County to as many <br /> people as possible. If requested funding is not awarded at all, or if a reduced allocation is <br /> recommended, the core activities described in this proposal will still be carried out but to a <br /> lesser degree. <br /> i) Include any other pertinent information. <br /> n/a <br /> Program/Protect Information <br /> j) Complete the Target Population and Program Beneficiary Demographics Chart <br /> k) Complete the Schedule of Positions Chart for Program Staff <br /> 1) Disclosure of Potential Conflicts of Interested must be signed <br /> m) Complete the Work Statement Chart to describe the work to be performed, and be sure to <br /> attach copies of all data collection tools that will be used to verify achievement of program <br /> goals and objectives. Describe who will be responsible for monitoring progress. <br /> Information to Complete <br /> j) Target Population <br /> Complete the following tables to the best of your ability. Show numbers of participants and <br /> percentages, as applicable, in each category. <br /> Please indicate whether this project/program will serve: ❑ Persons ❑ Households ❑ Units <br /> Program: A Brush with Kindness <br /> Program Beneficiary Demographics <br /> Actual Estimated Projected <br /> 2014-15 2015-16 2016-17 <br /> Gender <br /> Male 12 15 15 <br /> Female 12 21 21 <br /> Total 24 36 36 <br /> Main Application 1/25/201 6 1 2:11 :11 PM I p (;, µ B �: II "I .7 <br />